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HomeMy WebLinkAboutBLD2007-00100 BUILDING PERMIT APPLICA�ON ML 128 Revv iew iew T Tyype: I Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD07-00100 Received Date: 3/14/2007 SITE ADDRESS: 1656 S JACOB MILLER RD PORT TOWNSEND, 98368 OWNER: BERNT P ERICSEN PHONE: (360) 385-4281 MARLENE J ERICSEN 2281 HASTINGS AVE W PORT TOWNSEND WA 98368-9639 IRVING PARK ADDITION SUBDIVISION: Block: 23 Lot: 6-7+ PARCEL NUMBER: 963302303 Section: 16 Township: 30 N Range: 01 W CONTRACTOR: HI-LINE HOMES PHONE: 253-840-1849 11306 62ND AVE E PUYALLUP WA 98373 Contractor's License HILINH*981BT Expires 2/10/2008 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION NEW SFR W/ATTACHED GARAGE TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,716 VALUATION 165,213.00 ADD'L: HEAT TYPE: HTP CODE EDITION: 2003 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 484 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: CITY BEDROOMS: BATHROOMS: Exist: Exist: Prop: 3 Prop: 2 Total: 3 Total: 2 Routing Dater /1 4 l0 7 Type Amount Paid By: Date: Receipt: Approved/Date Permit $1,363.35 KAS 03/14/07 89475 APPROVED Plan Check $886.18 KAS 03/14/07 89475 State Building Code $4.50 KAS 03/14/07 89475 APR (0 2007 Potable Water Application $58.00 KAS 03/14/07 89475 Jeorcen County Planning Total: $2,312.03 Jefferson County Building Dion Permit Nu : BLD07-00100 Applicant: ERICSEN BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2003 International Building Codes To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection. Requests received after 7:00 AM will not be scheduled for that day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks ;.z:-b//e7 Erosion Control Foundation Footing S- 0-2 2'(---- Footing Drains S 121 b`7 OF-66 Foundation Stem Wall ______4\._________ Underground Plumbing Under Floor Framing /5a�_7 .r Straps(hold downs) / Ext. Shear Wall Nailing 67-'i"(- '7 ." N°-`I of 04''1"" A '`S Rough-in Plumbing g/1/c77 9 - Framing cl//C"? Blocking Airseal '!1 /f'7 c - Insulation:Walls 61 H/e 7 Insulation: Floors 914— Insulation:Ceiling Cly�—Int. Shear Wall Nailing �/J( Wallboard Nailing 3-:2/2,-117 c Gas Line: Interior Gas Line: Exterior Propane Tank Heat/Chimney Clearance Drywell/Alt Drainage Address Posted FINAL INSPECTION I O_5 -U?1 FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD07-00100 1.) NO FOOTING DRAIN ALONG NORTHERN EDGE OF BUILDING. OK PER CONVERSATION WITH WADE 3/26/07. A 30' SETBACK SHALL BE MAINTAINED FROM THE DISPOSAL COMPONENT AND RESERVE AREA TO ANY DOWNSLOPE FOOTING, CURTAIN OR INTERCEPTOR DRAIN OR DRAINAGE DITCH. SHOULD THIS NOT BE POSSIBLE FURTHER REVIEW WILL BE REQUIRED AND SEPTIC DESIGNER SHALL BE REQUIRED TO REDESIGNATE RESERVE AREA TO LOCATION GREATER THAN 30' FROM ANY DOWNSLOPE FOOTING, CURTAIN OR ki INTERCEPTOR DRAIN. PRIOR TO OCCUPANCY--FINAL APPROVAL OF SEPTIC SEP06-487 IS REQUIRED. 3.) MUST COLLECT AND DIVERT ALL SOURCES OF DRAINAGE AWAY FROM SEPTIC TANK, RESERVE & DRAINFIELD. 4.) The application was reviewed by the Jefferson County Department of Community Development staff on April 6, 2007 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: Special Aquifer Recharge Protection Areas. 5.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 6.) Critical Aquifer Recharge Areas are defined as Seawater Intrusion Areas, and Special Aquifer Recharge Protection Areas and the following land uses located within Susceptible Aquifer Recharge Areas (1)All Industrial Land Uses (2)All Commercial Uses (3)All Rural Residential Land Uses requiring a Discretionary Use or Conditional Use Permit (4)All Rural Residential Land Uses with nonconforming uses that would otherwise require a Discretionary Use or Conditional Use Permit (5) Unsewered Planned Rural Residential Developments (6) Unsewered residential development with gross densities greater than one unit per acre. All of the above listed uses shall be subject to the applicable requirements and standards of the Jefferson County Unified Development Code. 7.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs) and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 8.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 9.) The applicant is proposing to create or add 4267 square feet of impervious surface and 4732 square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require the project applicant submit a stormwater plan meeting Minimum Requirements#1 through #5 of the Department of Ecology Stormwater Management Manual for Western Washington. The stormwater plan shall address measures to control stormwater, erosion and sediment during construction and shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 10.) A Stormwater Site Plan for a medium project has been submitted and approved by the Department of Community Development. Once the subject permit has been issued the applicant shall fully implement the provisions of the submitted plan and contact the Jefferson County Department of Community Development to arrange a schedule to inspect the property for plan compliance. A Certificate of Occupancy will not be issued until the Department verifies plan compliance. No clearing for roadways or utilities shall occur on the project site until clearing necessary for the installation of temporary sedimentation and erosion control measures have been completed. 11.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 12.) The revised site plan as submittei March 19, 2007 has been reviewed for Oistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated April 9, 2007 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 13.) This approval is for a single family residence with attached garage only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 14.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 15.) Not more than 2 unlicensed vehicles shall be stored on any lot unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor vehicles is prohibited except in those districts where specified as an autormobile wrecking yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter 18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor vehicles be stored in a critical area. 16.) Minimum setback from any ingress/egress easement shall be 20 ft. Minimum side and rear setbacks shall be 5 ft. 17.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 18.) Exterior lighting for residential uses shall not exceed twenty feet(20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 19.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 20.) The building height is not to exceed 35 feet. 21.) A minimum of two (2) on-site parking spaces shall be provided for the single family residence. 22.) The parcel is served by City of Port Townsend water. 23.) .A Declaration of Restrictive Covenant has been recorded on February 20, 2006 under AFN 518765 for the purpose of consolidating the lots to meet minimum land area requirements. 24.) S Jacob Miller Rd (C625319) is a county local access road. The road approach is existing and an address of 1656 S Jacob Miller Rd has been assigned to the parcel. 25.) The parcel has been designated as RR 1:5 under the Jefferson County Comprehensive Land Use Map effective August 28, 1998. 26.) A septic permit (SEP06-00487) was approved on December 21, 2006 for a system of 360 gallons per day 27.) This parcel was created through the Irving Park Addition as recorded in Vilume 1 of Plats at page 42 as amended in December 26, 1990 under AFN 337104, records of Jefferson County, Washington. 28.) THE PROPOSED ACCESS DRIVEWAY CROSSES APN 963 303 302 (BLOCK 23, LOTS 4 AND 5 IRVING PARK ADDITION), WHICH IS ALSO OWNED BY THE PROPONENT OF THIS BUILDING PERMIT APPLICATION. PLEASE NOTE SHOULD APN 963 302 303 (BLOCK 23, LOTS 6 AND 7) BE SOLD IN THE FUTURE, A LEGAL ACCESS SHALL BE PROVIDED TO THIS PARCEL. II. BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: 4t ►► , } WS 1 f #`" ' I (360 ) 376i-g400 (340 ) 37q-q/71 MAILING ADDRESS: 1,� 13 (.4rle t1 Le-- CC/AV-4 L,LL UL 43731 EMAIL: CONTRACTOR'S LICENSE J WAINS NUMBER: +( I L I N N C g i E I NUMBER ARCHITECT/ENGINEER: ft 1 I d C 40Jfor1 jnL,PHONE ( ) 5q7_gOg7 FAX: ( ) MAILING ADDRESS: ed.° l,,1 Stit , richc, EMAIL rLLpp a rt gqlYl t't(Intl. C ititt'.'. /)4�` Project Type: Frame Type: ' Bathrooms: Shoreline: Type of Sewage Disposal: 1 l New , Wood Existing: ❑ Sewer ❑ Addition ❑ Steel Proposed: Bank Height: ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: - t� Individual System ❑ Repair 0 Masonry SEP Permit#,1 t; ' 7 ❑ Demolition 0 Other: Bedrooms: Water Supply: Existing: Setback: C] Private well ❑ Two Party Type of Heat: Proposed: 3 yQ Public jL. ct ewe Total: 3 � Name of System:`'""1 tr( art. -Et )rlsd.id If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed': Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: Li Underground Tank I 1 Above ground Tank Size of Propane Tank: ❑ Heat Stove ❑ Cook Stove [I Woodstove ❑ Fireplace Insert ❑ Hot Water Tank ❑ Pellet Stove Li Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size, distances from the propane tank to all property lines, buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: 2 Floor Heated Consistency Review: (S-.CC' Other Heated � ��� � `Y�f�-y t Base fee: u(q� IA L �J. — Mezzanine Additional Section: Heated Basement �,�A,rS, Dgr7 Plan Check fee: /Sg Q. Unhated Basement State Surcharge fee: Other14 Unheated 1(iffliSO' I, �I �'1,'t Pot Water Review fee: .3a Garage/Carport SUBTOTAL Iii 114o7 a 5(c5, Decks 911/Rd Approach fee: _ t-)45F rel Other TOTAL: $ t3 S. 3 l Receipt Number: q LJ -75 Cash/Check Number: I C�--- ��. ESTIMATED COST(REQUIRED) ( (a5 ala ir0 Date: ��I� J�� •Fair market value of all labor and materials foundailon-to-finik ___ _ l / i ©Oa • Initials: G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc V ��¢ oN cow JEFFER COUNTY �5- • rti ` j DEPARTMENT OF COMMUNITY DEVELO l4l4J JE� \ l 141j 'y `'c 621 Sheridan Street • Port Townsend •Washington 98368 360/379-4450 • 360/379-4451 Fax q O www.co.jefferson.wa.us/commdevelopment _.. u 2 117 S NOZ Master Permit Application 1f ff[fl liN��11 u-i - 12E Project Description (include separate sheets as necessary): 11C f['f l } t! iit( li, 3 Mt ( ] 7I (: Sj� -'- ) ;�nyr-►e u.'t44\ at- 6;.0 gar,ltjz, Property Tax Parcel Number: Li 6, (.)a 3 0 D Size: ,z 3, 3 i(" c q _se 6.. (acres/square feet) Site Address and/or Directions to Property: 16, '. Jtc c� rr'1 b t t(e,,- '7 4. . U �i c{t (e w`tn rinc411 Oa. gk3(ac Property Owner(s)of Record: lie-ei1,t 2t' Indic if41?_ eY i C„5c Telephone: 3 6,C) --, '7"" 42-/f I Fax: _340 g5- 6`?36 email: DI b c -t c-,tt') a) (' )454xe,P,w en Mailing Address: ,2 8'l [`1aS't-irvjS five-. 1,0/st: ( 1-6w'rlStilii1 `ti/ . etg3(,,1s' Applicant/Agent(if different from owner): Telephone: Fax: email: Mailing Address: What kind of Permit?(Check each box that applies) $Building ❑Variance (Minor, Major or Reasonable Economic Use) [.11 Demolition Permit ❑ Conditional Use[C(a), C(d),or C]** $1 Single Famil __ ❑ Discretionary"D"or Unnamed Use Classification 9 Garage Attached Detached 0 Special Use(Essential Public Facilities)** CI Manufactured Home ❑ Boundary Line Adjustment ❑ Modular 0 Short Plat** ❑ Commercial* 0 Binding Site Plan** O Change of Use ❑ Long Plat** ❑Address Li Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments** ❑ Propane ❑ Plat Vacation/Alteration** ❑ Allowed"Yes" Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Stormwater Management ❑ Shoreline Management Substantial Development** ❑ Site Plan Approval Advance Determination(SPAAD)* ❑ Shoreline Management Variance 0 Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment ❑Wireless Telecommunication* 0 Jefferson County Shoreline Master Program Amendment O Forest Practices Act/Release of Six-Year Moratorium *May require a Pre-Application Conference **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate to act as my agent in matters relating to this application for permit(s). OWNER SIGNATURE Date: By signing this application form,the owner/agent attests that the information provided herein,and in any attachments,is true and correct to the best of his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this applicationipacket may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilitikl,pyd8ments,court costs,reasonable attorney's fees,and expenses which may in any way accrue against Jefferson County as a result of or in cdoquence of the granting of this permit. • I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections.Access and right of entry to this property shall be requested and shall occur only during regular business hours. Signature: (34.i [pia \ Date: .2— .y2 7- 0'7 The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s) even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non- transferable res nsibility for hering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: * A, 4_) Date: _5 -1`t—07 G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc T • • IP IR\ECEWED ,ellik..14 440 JEFFERSON COUNTY ,-4 DEPARTMENT OF COMMUNITY DEVELOPMENT 4 , , 621 Sheridan Street • Port Townsend •Washington 98368 lFff Stiti),il kli nal NO( O 360/379-4450 . 360/379-4451 Fax hftp://www.co.jefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 01^ 1115 PROJECT/APPLICANT NAME: Lec fkt t ,1(tC j(1 Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. 1-7I10 S i. -4. ,sing(e1 S-for vv��ha i.0 t-it, A c. a Ott —cg.-h 34.1-me_ 16D() - -. Iiii.,(....Lvai i DJaLk'iOa9c . Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. JEFFEIISP A? 1'0'K q-Y. -ff.?, 6-€4 41 SItIvqj .frivv. Nt,(+4, ,-!a So wit%. 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. 'Pr o6u.,--Gt is--k QYiVy%a.rLi o-' ?QS .r1- 1ra.�s ) ►� ir)LLi_ ►oc c cct^upi -1-he- kJ o r-14-1 u)1rs t C-e(f,.l' 4. Describe the existing soils. Indicate soil type on the site map. t.50;, $ Sri Ty- ✓n,Le vr .{lnt. S cL.n is Loa -my Lomy Sam es CC-Cum/Ai• 1 it' her:�0yl ' ``l �"" 5. Describe the existing site hydrology(i.e., drainage; behavior of water on the site—above,below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. S S t o s gro i ,,-a,i.t,,I —6,r,,�, 111 oYell `t So LA i --CO US tre �.-m ea,h tr�c./ ►.�lo i illa boo,-64-1'�r, I 0 tdic.r dS no-t. pu 2.k eh, sum APPROVED h 6. Describe any excess levels of noise generated by the proposed use or activity: STOR AEI W ATER PLAN 6: hMt. APR - 92001 ,, JEFFERSON COUNTY DEPT.OF C MUNITY PME SIGNATURE: stormwater site plan template—rev.10/1/2003 5 T • • 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes,etc.)on the site. Indicate location on the site map. Wane, . ; I '1 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands,lakes,steep slopes,etc.). • sI, t, --f1.w'i.,i h.�m�.. 0 c�41 i (zt �l �r e-t -, na -F �J a ant b 2�,,i Ltt -6 u✓c00-2v t,Q"` -A arc. T( "-b LAX St . M MLA u-F2re4r..rt ? Um o►� QL- `- Setc5il._ �t rif t 5rau -I-yidew ri,LA5 Etz_St ' ► ' I l (port-a� 64-g kktCa4a . fie c,\ 96 Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation.of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed (i.e., per BMP T5.30 in the Manual) or, if not,what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. eat-d,_ ba-Stn- * In-6(-hrat-try. -h'tnch -Cnr rifrvYY SVIA I- 8 raj wS. Cew. btn-a-fti'vs rl pers12., -tx Lc&vl 11,4 e a#r-e, b 1;4- / 1 W--4‘1-fr-d e-,-. -1'renc2- 6✓ d r Ld rr.&a.y , 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] 11. Describe the performance goals and standards applicable to the project. iPi R 0:oN-ET) ... ,_........, 12. D`escritatie flpw%,&bI of systeml I 1141400"Agri Iltil 1Z:twit).1:1v3(1 Y 1 .t nktmcY) 'fit) V 1 1 _ ::pit:J JA: CIIM stormwater site plan template—rev.10/1/2003 6 • • 13. Describe the water quality system. _11A- 14. Describe the conveyance system analysis and design. N1(1- 15. Describe the source of fill material,physical characteristics of fill material,and deposition of excess material. ( ex6U/Yu 'Aiwird n Lk-vr u91'l( e.in., ;.5 C Ma rii cit lacc Q I1 44 C Q-t)iL tom, ri rt've Loam 1,42 ill i t se, - bi i1a-4-i r0- 0-( bail!e_ru ri 4 rA Jw 3L ,Lt 8 ud v-r- tri.t6 kux r Dili-. 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. r 3/�,. t Crlt4ha bQ 6 t ?&Le_a- t- cl nu.' ti.iial ni&&Jlait cs.f l41 die_X 17. Describe the proposed surfacing material. r, h 34 irk-sha- basa,f._± Sh t►u- enkev ri 18. Describe methods for restoration of the site. qr-a a.ratra ha s 4-7) ma--fa- Lailis-- ni -iak rS 4 g&v.+6ri?S5 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat runoff.] If included,list the Manuals here/1 Ft 20. List e e and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If those permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. t I KeEivEt e- s -> , / Iri4 Ry MAR 1 4 2007 .IEFFFIi IIr ',UUNIr tLII stormwater site plan template-rev.10V1/2003 7 • • + CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I-CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). 12 Required Elements-Construction SWPPP 1. Mark Clearing Limits. Srat? IAo elf,-hart_ Aret5S SW drill- W i l( be- f er✓)ovc,12 4016w --Orr hlws 2. Establish Construction Access. v tt I.Ot`�I am1 o{t a ,��I sti n� Tr ae.c-ecS iw VA d -r.� 461,dtr 1 c ' 3. Control Flow Rates. t �: 171 Y d1f 1nylt 4 c rweviam -R61135 jyea I'7�t�t'1tir 4 I`c .rs - S Tire 6)(&ty% • 4. Install Sediment Controls. 5. Stabilize Soils. frLA S.� - 6. Protect Slopes. Yeti n) IeSS -14\V-- I a � c . ) 7.1�Protect Drain Inlets. ti,4( IEW TF MAR 1 4 2007 storrnwater site plan template—rev.10/1/2003 8 • • 12 Required Elements-Construction SWPPP(continued) 8. `Stabilize Channels and Outlets. N/rt 9. Control Pollutants. iNfk 10 Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). qR. 11. Maintain Best Managemept practices(BM s). , novve - p,rv� Q.1( Ci w Y6 iiDM - 4M I mt n rt-w 12. Manage the Project. • pu.) etc W repNS(b(i. 6I 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas,roads). b. Description of the downstream drainage path leading from the site to the receiving body of water(minimum distance of 400 1\1r ys��). f�- R JECEW E1I )l 3. Environmentally Sensitive Areas. MAR 1 t1 a. Description of environmentally sensitive areas that are on or adjacent to the site. MAR 4 2Q07 IEffEN�II�C IINiY tICIl stormwater site plan template—rev.10/1/2003 9 • • b. Description of special requirements for working in or near environmentally sensitive areas. ,``M • 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soli (e.g.,erodibility,settleability,permeability,depth,texture,soil structure). 1 'Y15Y1k 5. Construction Phasing. a. Construction sequence Wl -a M 4 drt;v uy accccs z) baeICALL1 5-frr 4 sf.eJ2 3) - ;,ti91, c Wt tii . b. Construction phasing(if proposed) 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. `�Cat �tN n1�cQ c�!Jr Q D 7) b ek LL bull 07 t �t t S� ci Vvat-0AI Od C 7 II. Wet Season ConstructionUU Activities. a. Proposed wet season construction activities. 10o - • b. Proposed wet season construction activities for environmentally sensitive areas. 7. Financial/Ownership Responsibilities. a. Identify the property owner responsible for the initiation of bonds and/or other financial securities. e►^* E r i Us>?Y- b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts. `I�-e e9a> r e 8. Engineering Calculations. Provide Design Calcu ations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. 1 R BCEIVEI) b. Diversions. //4 I c. Waterways. nn d. Runoff/Stormwater Detention Calculations MAR 1 4 2QZ7 I��wFN111�►OOP 1 stormwater site plan template—rev.10✓12003 10 • S Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan,the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stomiwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By signing the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. 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